QUESTIONS AND ANSWERS ON NURSING PEDIATRIC COURSE
EMERGENCY
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not respond to
commands and groans in response to questions. Which action will quickly determine if her behavior indicates a
serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - Correct Answer -D. Ask the parents if her behavior is unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of 39.4�C (102.9�F). An
intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - Correct Answer -B. Monitoring for signs and symptoms of increased
intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the- room" assessment. - Correct
Answer -D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
The caregivers of a 6-year-old boy who is brought to the emergency department for abdominal pain should first
be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
D. "Has he been complaining of a sore throat or earache?" - Correct Answer
-C. "What is the reason for the child's visit and how long has he been ill?"
, A 9-month-old infant is crying loudly through the nursing assessment, and the caregiver is becoming distraught.
The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior. - Correct Answer -B. Offer the infant a pacifier.
During an intubation attempt, the child�s heart rate drops to 40 beats/minute. Which intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to intubate faster.
D. Administer blow-by oxygen and begin chest compressions. - Correct Answer -A. Ask the physician to stop
the intubation attempt and perform bag-mask ventilation.
A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor muscle tone. The
emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - Correct Answer -D. Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. - Correct Answer -B. Using the jaw thrust maneuver.
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute, respirations of 16
breaths/minute, and capillary refill of more than 3 seconds. The proper sequence for nursing interventions would
be:
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an isotonic
solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg of an isotonic solution, and
EMERGENCY
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not respond to
commands and groans in response to questions. Which action will quickly determine if her behavior indicates a
serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - Correct Answer -D. Ask the parents if her behavior is unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of 39.4�C (102.9�F). An
intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - Correct Answer -B. Monitoring for signs and symptoms of increased
intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the- room" assessment. - Correct
Answer -D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
The caregivers of a 6-year-old boy who is brought to the emergency department for abdominal pain should first
be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
D. "Has he been complaining of a sore throat or earache?" - Correct Answer
-C. "What is the reason for the child's visit and how long has he been ill?"
, A 9-month-old infant is crying loudly through the nursing assessment, and the caregiver is becoming distraught.
The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior. - Correct Answer -B. Offer the infant a pacifier.
During an intubation attempt, the child�s heart rate drops to 40 beats/minute. Which intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to intubate faster.
D. Administer blow-by oxygen and begin chest compressions. - Correct Answer -A. Ask the physician to stop
the intubation attempt and perform bag-mask ventilation.
A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor muscle tone. The
emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - Correct Answer -D. Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. - Correct Answer -B. Using the jaw thrust maneuver.
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute, respirations of 16
breaths/minute, and capillary refill of more than 3 seconds. The proper sequence for nursing interventions would
be:
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an isotonic
solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg of an isotonic solution, and
